Fatores biopsicossociais associados ao estado de incapacidade após acidente vascular cerebral: análise exploratória baseada na classificação internacional de funcionalidade, incapacidade e saúde

Detalhes bibliográficos
Autor(a) principal: Santos, Heyriane Martins dos
Data de Publicação: 2021
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da Uninove
Texto Completo: http://bibliotecatede.uninove.br/handle/tede/2834
Resumo: Introduction: According to the International Classification of Functioning, Disability and Health (ICF), the environment is associated with the state of human disability and functionality, however, few studies seek to analyze the influence of the environment on disability after stroke. Objectives: Study 1- identify how environmental barriers and facilitators relate to disability after stroke. Study 2-identify the main biopsychosocial predictors associated with the level of disability after stroke according to the ICF biopsychosocial model. Methods: Both studies are exploratory cross-sectional analytical, in which individuals with chronic stroke were evaluated. Disability was considered the dependent variable, being assessed by the World Health Disability Assessment Schedule (WHODAS-2.0). In Study 1, the independent variable was the environment, assessed using the Measure of the Quality of the Environment (MQE). Multiple linear regression was used to estimate the impact of the environment on disability after stroke. In Study 2, the independent variables were determined using the ICF biopsychosocial model: the personal factors considered were: age, sex and income. For bodily functions, the emotional function (Geriatric Depression Scale (GDS)) was considered, and whether the dominant upper limb was affected by stroke. For the activity and participation component, satisfaction in carrying out activities and participation, locomotion, and manual skill were considered, assessed by Satispart Stroke (SATIS-Stroke), Locomotion ability for adults (ABILOCO) and manual ability for adults with upper limb impairment (ABILHAND), respectively; in addition to considering the return to work. For the environmental factors, the environmental facilitators and obstacles that were assessed by the MQE were considered. Binary logistic regression for likelihood ratio was used. Results: Study 1- the main barriers were those related to the physical environment. It was observed that the barrier environment was a predictor of general disability [F(1.73) = 4.24; R2=0.06; β = -0.23; t = -2.06; p=0.04] and predictor of participation [F(1.73) = 10.45; R2=0.13; β = -0.35; t = -3.23; p = 0.01]. Environmental enablers did not correlate with disability. Study 2 -It identified that satisfaction in activities and participation (OR = 0.17; 95%CI 0.03-0.80, p=0.02) and income (OR = 1.96; 95%CI 1.03-3.71, p=0.03) proved to be independent predictors of disability. Conclusion: The physical environment was identified as a barrier, being a predictor of disability after a stroke. When performing the analysis based on the biopsychosocial model, the environment continued to be a factor associated with disability, however, related to the lack of access to health services. Low income and decreased satisfaction in carrying out activities and participation were also factors associated with disability after stroke. Variables related to bodily functions were not related to disability.
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spelling Silva, Soraia MicaelaFaria, Christina Danielli Coelho de MoraisSilva, Soraia MicaelaGomes, Cid André Fidelis de PaulaAndrade, Fernanda Guimarães dehttp://lattes.cnpq.br/2985132498164981Santos, Heyriane Martins dos2022-02-21T21:24:29Z2021-12-13Santos, Heyriane Martins dos. Fatores biopsicossociais associados ao estado de incapacidade após acidente vascular cerebral: análise exploratória baseada na classificação internacional de funcionalidade, incapacidade e saúde. 2021. 97 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/2834Introduction: According to the International Classification of Functioning, Disability and Health (ICF), the environment is associated with the state of human disability and functionality, however, few studies seek to analyze the influence of the environment on disability after stroke. Objectives: Study 1- identify how environmental barriers and facilitators relate to disability after stroke. Study 2-identify the main biopsychosocial predictors associated with the level of disability after stroke according to the ICF biopsychosocial model. Methods: Both studies are exploratory cross-sectional analytical, in which individuals with chronic stroke were evaluated. Disability was considered the dependent variable, being assessed by the World Health Disability Assessment Schedule (WHODAS-2.0). In Study 1, the independent variable was the environment, assessed using the Measure of the Quality of the Environment (MQE). Multiple linear regression was used to estimate the impact of the environment on disability after stroke. In Study 2, the independent variables were determined using the ICF biopsychosocial model: the personal factors considered were: age, sex and income. For bodily functions, the emotional function (Geriatric Depression Scale (GDS)) was considered, and whether the dominant upper limb was affected by stroke. For the activity and participation component, satisfaction in carrying out activities and participation, locomotion, and manual skill were considered, assessed by Satispart Stroke (SATIS-Stroke), Locomotion ability for adults (ABILOCO) and manual ability for adults with upper limb impairment (ABILHAND), respectively; in addition to considering the return to work. For the environmental factors, the environmental facilitators and obstacles that were assessed by the MQE were considered. Binary logistic regression for likelihood ratio was used. Results: Study 1- the main barriers were those related to the physical environment. It was observed that the barrier environment was a predictor of general disability [F(1.73) = 4.24; R2=0.06; β = -0.23; t = -2.06; p=0.04] and predictor of participation [F(1.73) = 10.45; R2=0.13; β = -0.35; t = -3.23; p = 0.01]. Environmental enablers did not correlate with disability. Study 2 -It identified that satisfaction in activities and participation (OR = 0.17; 95%CI 0.03-0.80, p=0.02) and income (OR = 1.96; 95%CI 1.03-3.71, p=0.03) proved to be independent predictors of disability. Conclusion: The physical environment was identified as a barrier, being a predictor of disability after a stroke. When performing the analysis based on the biopsychosocial model, the environment continued to be a factor associated with disability, however, related to the lack of access to health services. Low income and decreased satisfaction in carrying out activities and participation were also factors associated with disability after stroke. Variables related to bodily functions were not related to disability.Introdução: De acordo com a Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) o ambiente está associado ao estado de incapacidade e funcionalidade humana, entretanto, poucos estudos buscam analisar a influência do ambiente na incapacidade após AVC. Objetivo: Estudo 1- identificar como as barreiras e os facilitadores ambientais se relacionam com a incapacidade após AVC. Estudo 2- identificar os principais preditores biopsicossociais associados ao nível de incapacidade após AVC segundo o modelo biopsicossocial da CIF. Métodos: Ambos os estudos são analíticos exploratórios de corte transversal, no qual avaliou-se indivíduos com AVC crônico. A incapacidade foi considerada a variável dependente, sendo avaliada pelo World Health Disability Assessment Schedule (WHODAS-2.0). No Estudo 1, a variável independente foi o ambiente, avaliado por meio do Measure of the Quality of the Environment (MQE). A regressão linear múltipla foi utilizada para estimar o impacto do ambiente sobre a incapacidade após AVC. No Estudo 2, as variáveis independentes foram determinadas por meio do modelo biopsicossocial da CIF: os fatores pessoais considerados foram: idade, sexo e renda. Para as funções corporais considerou-se a função emocional (Geriatric Depression Scale (GDS)) e, se o membro superior dominante foi acometido pelo AVC. Para o componente atividade e participação considerou-se a satisfação na execução das atividades e participação, a locomoção, e a habilidade manual, avaliadas pela Satispart Stroke (SATIS-Stroke), Locomotion ability for adults (ABILOCO) e manual ability for adults with upper limb impairment (ABILHAND), respectivamente; além de se considerar o retorno ao trabalho. Para os fatores ambientais considerou-se os facilitadores e obstáculos ambientais que foram avaliados pelo MQE. Foi utilizada a regressão logística binária por razão de verossimilhança. Resultados: Estudo 1- as principais barreiras foram as relacionadas ao ambiente físico. Observou-se que o ambiente barreira foi preditor de incapacidade geral [F(1.73) = 4.24; R2=0.06; β = -0.23; t = -2.06; p=0.04] e preditor da participação [F(1.73) = 10.45; R2=0.13; β = -0.35; t = -3.23; p = 0.01]. Os facilitadores ambientais não se correlacionaram com a incapacidade. Estudo 2 - a satisfação nas atividades e participação (OR = 0,17; IC95% 0,03-0,80, p=0,02) e a renda (OR = 1,96; IC95% 1,03-3,71, p=0,03) se mostraram preditoras independentes da incapacidade. Conclusão: O ambiente físico foi identificado como barreira, sendo inicialmente, associado ao estado de incapacidade após AVC. Ao realizar a análise baseada no modelo biopsicossocial, observou-se que a baixa renda e a diminuição da satisfação da execução das atividades e participação foram fatores associados à incapacidade após AVC, contudo, nesta na análise final o ambiente não esteve associado à incapacidade. As variáveis relacionadas às funções corporais não apresentaram relação com a incapacidade.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2022-02-21T21:24:29Z No. of bitstreams: 1 Heyriane Martins Dos Santos.pdf: 2610434 bytes, checksum: c6961bc334daca0b077a97e266b09a70 (MD5)Made available in DSpace on 2022-02-21T21:24:29Z (GMT). No. of bitstreams: 1 Heyriane Martins Dos Santos.pdf: 2610434 bytes, checksum: c6961bc334daca0b077a97e266b09a70 (MD5) Previous issue date: 2021-12-13application/pdfporUniversidade Nove de JulhoPrograma de Pós-Graduação em Ciências da ReabilitaçãoUNINOVEBrasilSaúdeclassificação internacional de funcionalidadeincapacidade e saúdeacidente vascular cerebralincapacidadeinternational classification of functioningdisability and healthstrokedisabilityCIENCIAS DA SAUDEFatores biopsicossociais associados ao estado de incapacidade após acidente vascular cerebral: análise exploratória baseada na classificação internacional de funcionalidade, incapacidade e saúdeinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALHeyriane Martins Dos Santos.pdfHeyriane Martins Dos Santos.pdfapplication/pdf2610434http://localhost:8080/tede/bitstream/tede/2834/2/Heyriane+Martins+Dos+Santos.pdfc6961bc334daca0b077a97e266b09a70MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2834/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/28342022-05-27 17:56:32.035oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2022-05-27T20:56:32Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false
dc.title.por.fl_str_mv Fatores biopsicossociais associados ao estado de incapacidade após acidente vascular cerebral: análise exploratória baseada na classificação internacional de funcionalidade, incapacidade e saúde
title Fatores biopsicossociais associados ao estado de incapacidade após acidente vascular cerebral: análise exploratória baseada na classificação internacional de funcionalidade, incapacidade e saúde
spellingShingle Fatores biopsicossociais associados ao estado de incapacidade após acidente vascular cerebral: análise exploratória baseada na classificação internacional de funcionalidade, incapacidade e saúde
Santos, Heyriane Martins dos
classificação internacional de funcionalidade
incapacidade e saúde
acidente vascular cerebral
incapacidade
international classification of functioning
disability and health
stroke
disability
CIENCIAS DA SAUDE
title_short Fatores biopsicossociais associados ao estado de incapacidade após acidente vascular cerebral: análise exploratória baseada na classificação internacional de funcionalidade, incapacidade e saúde
title_full Fatores biopsicossociais associados ao estado de incapacidade após acidente vascular cerebral: análise exploratória baseada na classificação internacional de funcionalidade, incapacidade e saúde
title_fullStr Fatores biopsicossociais associados ao estado de incapacidade após acidente vascular cerebral: análise exploratória baseada na classificação internacional de funcionalidade, incapacidade e saúde
title_full_unstemmed Fatores biopsicossociais associados ao estado de incapacidade após acidente vascular cerebral: análise exploratória baseada na classificação internacional de funcionalidade, incapacidade e saúde
title_sort Fatores biopsicossociais associados ao estado de incapacidade após acidente vascular cerebral: análise exploratória baseada na classificação internacional de funcionalidade, incapacidade e saúde
author Santos, Heyriane Martins dos
author_facet Santos, Heyriane Martins dos
author_role author
dc.contributor.advisor1.fl_str_mv Silva, Soraia Micaela
dc.contributor.advisor-co1.fl_str_mv Faria, Christina Danielli Coelho de Morais
dc.contributor.referee1.fl_str_mv Silva, Soraia Micaela
dc.contributor.referee2.fl_str_mv Gomes, Cid André Fidelis de Paula
dc.contributor.referee3.fl_str_mv Andrade, Fernanda Guimarães de
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/2985132498164981
dc.contributor.author.fl_str_mv Santos, Heyriane Martins dos
contributor_str_mv Silva, Soraia Micaela
Faria, Christina Danielli Coelho de Morais
Silva, Soraia Micaela
Gomes, Cid André Fidelis de Paula
Andrade, Fernanda Guimarães de
dc.subject.por.fl_str_mv classificação internacional de funcionalidade
incapacidade e saúde
acidente vascular cerebral
incapacidade
topic classificação internacional de funcionalidade
incapacidade e saúde
acidente vascular cerebral
incapacidade
international classification of functioning
disability and health
stroke
disability
CIENCIAS DA SAUDE
dc.subject.eng.fl_str_mv international classification of functioning
disability and health
stroke
disability
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE
description Introduction: According to the International Classification of Functioning, Disability and Health (ICF), the environment is associated with the state of human disability and functionality, however, few studies seek to analyze the influence of the environment on disability after stroke. Objectives: Study 1- identify how environmental barriers and facilitators relate to disability after stroke. Study 2-identify the main biopsychosocial predictors associated with the level of disability after stroke according to the ICF biopsychosocial model. Methods: Both studies are exploratory cross-sectional analytical, in which individuals with chronic stroke were evaluated. Disability was considered the dependent variable, being assessed by the World Health Disability Assessment Schedule (WHODAS-2.0). In Study 1, the independent variable was the environment, assessed using the Measure of the Quality of the Environment (MQE). Multiple linear regression was used to estimate the impact of the environment on disability after stroke. In Study 2, the independent variables were determined using the ICF biopsychosocial model: the personal factors considered were: age, sex and income. For bodily functions, the emotional function (Geriatric Depression Scale (GDS)) was considered, and whether the dominant upper limb was affected by stroke. For the activity and participation component, satisfaction in carrying out activities and participation, locomotion, and manual skill were considered, assessed by Satispart Stroke (SATIS-Stroke), Locomotion ability for adults (ABILOCO) and manual ability for adults with upper limb impairment (ABILHAND), respectively; in addition to considering the return to work. For the environmental factors, the environmental facilitators and obstacles that were assessed by the MQE were considered. Binary logistic regression for likelihood ratio was used. Results: Study 1- the main barriers were those related to the physical environment. It was observed that the barrier environment was a predictor of general disability [F(1.73) = 4.24; R2=0.06; β = -0.23; t = -2.06; p=0.04] and predictor of participation [F(1.73) = 10.45; R2=0.13; β = -0.35; t = -3.23; p = 0.01]. Environmental enablers did not correlate with disability. Study 2 -It identified that satisfaction in activities and participation (OR = 0.17; 95%CI 0.03-0.80, p=0.02) and income (OR = 1.96; 95%CI 1.03-3.71, p=0.03) proved to be independent predictors of disability. Conclusion: The physical environment was identified as a barrier, being a predictor of disability after a stroke. When performing the analysis based on the biopsychosocial model, the environment continued to be a factor associated with disability, however, related to the lack of access to health services. Low income and decreased satisfaction in carrying out activities and participation were also factors associated with disability after stroke. Variables related to bodily functions were not related to disability.
publishDate 2021
dc.date.issued.fl_str_mv 2021-12-13
dc.date.accessioned.fl_str_mv 2022-02-21T21:24:29Z
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dc.identifier.citation.fl_str_mv Santos, Heyriane Martins dos. Fatores biopsicossociais associados ao estado de incapacidade após acidente vascular cerebral: análise exploratória baseada na classificação internacional de funcionalidade, incapacidade e saúde. 2021. 97 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.
dc.identifier.uri.fl_str_mv http://bibliotecatede.uninove.br/handle/tede/2834
identifier_str_mv Santos, Heyriane Martins dos. Fatores biopsicossociais associados ao estado de incapacidade após acidente vascular cerebral: análise exploratória baseada na classificação internacional de funcionalidade, incapacidade e saúde. 2021. 97 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.
url http://bibliotecatede.uninove.br/handle/tede/2834
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